healthcare financing article.pdf

57 they is the leadership of the less than 40 of

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57 “They” is the leadership of the organization—actually less than 40% of members prefer single-payer insurance, according to a membership survey in spring 2007. 58 The AAP policy statement “Scope of Health Care Benefits for Children From Birth through Age 21” contains two pages of recommended benefits for children including specialty medical care, specialty and subspecialty surgical care, comprehensive mental and behavioral health services, home services, equipment and supplies, dental care including orthodontia, parent support services, family counseling, physical/ occupational and speech therapy, services for pregnancy and “fetal management options”, substance abuse treatment, vision services/glasses, transportation services, etc. The same document states “If professional standards of care for children do not exist or are outdated or contradictory, decisions about existing interventions must be based on consensus pediatric expert opinion.” 59 News release from the AAP on the “Pediatrics for the 21 st Century Symposium Series”, August 2007.
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© 2008 Leah M. Willson, MD, MA 23 60 Matthew Levy, AAP legislative liaison, quoted in “Campaign to urge universal children’s health-care coverage gathers momentum”, in Contemporary Pediatrics, 23 (8) 2007, 98. 61 Priscilla Ring reporting from the 2007 AAP Legislative Conference, AAP newsletter (to members), August 2007, 4. 62 Adolescent medicine is primarily concerned with psychosocial issues, therefore “standards of care” will be heavily influenced by philosophic beliefs and values. In published guidelines for adolescent medical care, five- sixths of the care recommendations are for screening or counseling, rather than traditional medical services. 63 See Hillard, “Preserving Confidentiality in Adolescent Gynecology”, a symposium in which adolescent physicians discuss contacting teens at school instead of home, having secret files for portions of a teen’s medical record, making confidential referrals for reproductive services, finessing communications with parents with intent to deceive, and falsifying lab billing statements—and feeling ethical about it. 64 P. Budetti, “Health insurance for children—a model for incremental health reform,” New England Journal of Medicine 1998;338:513. See also Bertram, 824. 65 The average Medicare beneficiary spends approximately 20% of their income on health-related costs including premiums for Medicare A and B, supplemental policies, medications, and non-covered services such as eyeglasses. Pipes, 39. 66 Goodman, et al., 107. Here quoting a study from 1993, costs are now presumably higher. 67 Ibid., see Chapter 15 regarding age discrimination in Britain and New Zealand. 68 Daniels, “Justice, Health, and Healthcare”. 69 Fletcher, “How Genetic Discoveries Will Aid Healthcare Reform”, 818. 70 Ibid., 819. 71 Ibid., 822. 72 Fox, “Religious Group Attacks Religion in Healthcare”. 73 Marshner, “The Health Insurance Exchange: Enabling Freedom of Conscience in Health Care”.
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